Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry Lee Bangert, MD

Individual provider Dermatology Physician · NPI 1578529855

Jerry Lee Bangert, MD is a Dermatology Physician in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7356 N La Cholla Blvd
Tucson, AZ 85741
Phone: (520) 575-1007
Fax: (214) 596-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 11270 (AZ)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 11270 (AZ)

Record details

NPI number1578529855
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2006
Last updated in NPPESNovember 25, 2013

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